Final answer:
For pediatric cardioversion, the energy settings depend on the patient's weight and age. The initial biphasic energy dose is typically 1 J/kg and can be increased if necessary. If a monophasic defibrillator is used, the initial energy dose is 2 J/kg.
Step-by-step explanation:
In pediatric cardioversion, the energy settings typically depend on the patient's weight and age. The American Heart Association (AHA) recommends using the following energy settings:
- Initial biphasic energy dose: 1 J/kg (joules per kilogram) for the first shock
- If the first shock does not terminate the arrhythmia, subsequent doses can be increased to 2 J/kg and then 4 J/kg
- Alternatively, using a monophasic defibrillator with an energy dose of 2 J/kg for the first shock, and increasing to 4 J/kg if needed
- If the child is injured or in cardiac arrest, the initial biphasic energy dose should be increased to 2 J/kg